<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_id" data-rule="required" data-source="purchase_order/getOrderInfo" class="form-control selectpage" name="row[order_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Receive_images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-receive_images" class="form-control" size="50" name="row[receive_images]" type="text">
                <div class="input-group-addon no-border-right">
                    <ul class="fa-ul">
                        <li class="fa-li"><i class="fa fa-file-image-o"></i></li>
                    </ul>
                </div>
                <span class="input-group-btn">
                    <button type="button" id="plupload-receive_images" class="btn btn-danger plupload" data-input-id="c-receive_images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-receive_images"><i class="fa fa-upload"></i> {:__('Upload')}</button>
                </span>
            </div>
            <span class="msg-box n-right" for="c-receive_images"></span>
            <ul class="row list-inline plupload-preview" id="p-receive_images"></ul>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
